Active NPI
Blake W. Arnold, MD
- Diagnostic Radiology Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 363889-1205
- Practice address
- 1380 E Medical Center Dr
St George, UT 84790-2123 - Phone
- (435) 673-4800
- NPI assigned
- Jul 20, 2006
- Last updated
- Jan 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 363889-1205 | UT | |
| Diagnostic Radiology Physician | 2085R0202X | 363889-1205 | UT | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 363889-1205 | UT | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 363889-1205 | UT |
Addresses
Primary practice location
1380 E Medical Center Dr
St George, UT 84790-2123
Mailing address
283 E 930 S
Orem, UT 84058-5001
Phone (801) 225-6246
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107011790103 | Other | UT | IHC |
| 870487570BWA | Other | UT | EMIA |
| 741295 | Other | UT | DMBA |
| 36388912002001 | Other | UT | BLUE CROSS |
| 870487570004 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Pennsylvania State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St. George Radiology Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology Associates | Body Imaging | Past | Accepting new patients |
Locations
560 W 800 N
Orem, UT 84057
Phone (801) 701-6504
1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100
1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1490 E Foremaster Dr
Bldg C
St George, UT 84790
Phone (435) 674-5230
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Diagnostic Radiology Physician
- St George, UT
- NPI 1790736130
-
dba Cedar City Hospital Physicians
- Multi-Specialty Clinic/Center
- Cedar City, UT
- NPI 1689684110
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Intermountain St. George Imaging Center
- Physiological Laboratory
- St George, UT
- NPI 1578206462
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1639124498
Body Imaging
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1861412769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 E 930 S",
"city": "OREM",
"state": "UT",
"postal_code": "840585001",
"telephone_number": "801-225-6246",
"fax_number": "801-225-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902123",
"telephone_number": "435-673-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "BLAKE",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "UT",
"license": "363889-1205",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "363889-1205",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "UT",
"license": "363889-1205",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "UT",
"license": "363889-1205",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107011790103",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870487570BWA",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "741295",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "36388912002001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870487570004",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.